Mukta Medical Inc
NPI 1194197152 · Infectious Disease Physician · Randallstown, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mukta Medical Inc is a Infectious Disease Physician organization in Randallstown, MD (NPI 1194197152).
Provider details
- NPI number
- 1194197152
- Entity type
- Organization
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mohammed Kiddugavu, Owner(410) 922-2650
- License
- D0070832 (MD)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-10-29
- Last updated
- 2016-09-14
Frequently asked questions
- What is Mukta Medical Inc's NPI number?
- Mukta Medical Inc's National Provider Identifier (NPI) is 1194197152, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mukta Medical Inc?
- Mukta Medical Inc is classified in the NPPES registry as Infectious Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Mukta Medical Inc located?
- Mukta Medical Inc's practice location on file with NPPES is 5415 Old Court Rd, Randallstown, MD 21133-5170.
- What is Mukta Medical Inc's phone number?
- The practice phone number listed in the NPPES registry for Mukta Medical Inc is (410) 922-2650.
- Does Mukta Medical Inc accept Medicare?
- Mukta Medical Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mukta Medical Inc?
- The authorized official listed on Mukta Medical Inc's NPPES record is Mohammed Kiddugavu, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mukta Medical Inc's NPI active?
- Yes — Mukta Medical Inc's NPI (1194197152) is active in the NPPES registry as of the last update on 2016-09-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.